Document Detail


Reduced pain after surgery for cervical disc protrusion/stenosis: a 2 year clinical follow-up.
MedLine Citation:
PMID:  12944158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To follow the clinical outcome after surgery for cervical radiculopathy caused by degenerative cervical disc disease and to compare it with the outcome after conservative treatment. METHOD: Forty-three patients all awaiting surgery were studied prospectively. A control group of 39 conservatively treated patients were chosen, matched for gender and age. All patients rated their Sickness Impact Profile (SIP) and pain (VAS) and were clinically examined by unbiased observers initially and after 3, 9 and 24 months. RESULTS: Long-lasting pain reduction was noted both in the neck and in the arm for the operated patients, as well as improved sensory function and reduction of reflex disturbances. Their SIP showed a temporary improvement in the overall index, in the psychosocial dimension, in sleep/rest and home management, but only mobility remained improved. Among the operated patients referred directly to us, there was an improvement in SIP at the final follow-up. The control group's SIP indicated only a temporary improvement in sleep/rest. CONCLUSIONS: Surgically treated patients experienced pain reduction which was partially maintained for at least 24 months. A sustained improvement in the health status measured by SIP was observed only among operated patients that were not referred via the social insurance offices.
Authors:
H Löfgren; F Johansen; O Skogar; B Levander
Related Documents :
12782868 - Minimum 10-year followup after en bloc cervical laminoplasty.
12131428 - Does provocative discography screening of discogenic back pain improve surgical outcome?
1807528 - Lumbar spinal stenosis: results of surgical treatment.
19272808 - Arthrocentesis versus nonsurgical methods in the treatment of temporomandibular disc di...
15797938 - Superiority of sirolimus eluting stent compared with intracoronary beta radiation for t...
22714848 - Quality of life assessment septoplasty in patients with nasal obstruction.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  25     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-08-28     Completed Date:  2004-03-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1033-43     Citation Subset:  IM    
Affiliation:
Department Neuro-Orthopedic Surgery, Ryhov Hospital, Jönköping, Sweden. hakan.lofgren@ltjkpg.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arm
Case-Control Studies
Cervical Vertebrae
Female
Humans
Male
Middle Aged
Neck Pain / etiology,  therapy*
Outcome Assessment (Health Care)
Pain Measurement
Pain, Intractable / etiology,  therapy*
Prospective Studies
Questionnaires
Radiculopathy / etiology,  therapy*
Referral and Consultation
Regression Analysis
Sex Factors
Sickness Impact Profile*
Spinal Cord Diseases / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Death anxiety as a predictor of future time orientation among individuals with spinal cord injuries.
Next Document:  Health status and functional capacity in a group of successfully ageing 65-85-year-olds.